person
Nicola Clarke Wallen, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Waldorf, Maryland
NPI 1659413615

Nicola Clarke Wallen is a Psychiatric/Mental Health Nurse Practitioner based in Bowie, MD and is specialized in Psychiatric/Mental Health. Nicola Clarke Wallen practices in Waldorf, MD and has the professional credentials of PMHNP. The NPI Number for Nicola Clarke Wallen is 1659413615 and holds a License No. R190596 (Maryland).

The current practice location address for Nicola Clarke Wallen is 3261 Old Washington Rd Ste 2020, Waldorf, MD and can be reached out via phone at 301-960-8930. You can also correspond with Nicola Clarke Wallen through the mailing address at 3307 DUNWOOD RIDGE TER, BOWIE, MD - 20721-1259 (mailing address contact number: 202-569-2638).

Location: 3261 Old Washington Rd Ste 2020, Waldorf, MD, 20721-1259
person
Provider Profile Details
NPI Number
1659413615
Provider Name
Nicola Clarke Wallen
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
3261 Old Washington Rd Ste 2020, Waldorf, MD, 20721-1259
Phone Number
301-960-8930
Fax Number
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3261 Old Washington Rd Ste 2020
City
State
Zip
20602-3231
Phone Number
301-960-8930
Fax Number
person
Provider Business Mailing Address Details
Address
3261 Old Washington Rd Ste 2020
City
State
Zip
20602-3231
Phone Number
301-960-8930
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R190596 (Maryland)
Definition
Definition to come...
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